Netball Player Registration

Jimboomba Netball Association Representative Nomination Form

Enter your details to register for the Jimboomba Netball Association.
Please read the 2027 JNA Representative Program Information before Submitting your nomination. This document explains how the 2027 representative program will operate, including expectation, commitments and the selection process.

Click here to read the 2027 JNA Representative Program Information
Full Name of Player

First NameLast Name
Parent/Guardian Information

Please provide the parent or guardian details.
Full Name

First NameLast Name
Date

DayMonthYear
Date
Mobile
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Date of Birth of Player

DayMonthYear
Date
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Do you have any medical conditions we should be aware of?
Club
Team
Netball Experience Level
Preferred Positions
Second Choice Positions
Age Group
$20 non-refundable registration fee:

Account name: Jimboomba Netball association

BSB: 633-000

Account Number: 172339137
Please check the website and Facebook for the trial dates.
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Jimboomba Netball Association Representative Nomination Form